2007-04-09_REVISION - M1987028

• Permit No: M1987028
• IBM Index Class Name: Revision
• Doc Date: 4/9/2007
• Doc Name: SO Appl Pkg
• From: Colorado Marble, Inc.
• To: DRMS
• Type & Sequence: SO4
• Media Type: D
• Archive: No

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3. Current Permitted Ooentor. r
Contact Person: ~O ~S~T !'~ ..nH~O I_IQ, kl /a V_
Cep I Name: ~~/O qO IZ2.d o I Y IMC.rS/(~~ .
Street: /~ ZZ / ~~/~~~ia I fA2 ~ ~~•
City: l: ~ 1 rs/LS W l ~L
Stau: ~ ~ Zip Code: 301 Z I
Area Code: ~~o L Telephone: ~17~'I ' ~5~o O
4.
Natne:
Street:
City:
state:
Area C
IRS Ta'x ID No. or social Security No.
k!a (o Telephone: ~~j ~ ~~ O
5. Aoolicatbn Fee: $100.00 for Hard Rack operations; $125.00 for Coas1ntction Materials operations
Make check payable to the Division of Minerals and Geology
2. Operation Name:
C~' ~' zip Code: 34/2 /